assignment for theoretical

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ivamnor

Writing

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1. Conceptual and Theoretical Models - Write a 1500-1700 word essay addressing each of the following points/questions. Support your ideas with at least three (3) scholarly citations in your essay. Use strict APA guidelines to format the paper. The cover page and reference page do not count towards the minimum word amount and an abstract and table of contents are not necessary and if included are not part of the overall word count.

Choose a theoretical premise in healthcare delivery. Develop a conceptual model with words and graphics. You may choose a premise that has a conceptual model but you MUST revise the model both in words and graphics.

2. Subject Matter Experts and Data Collection - Your interview should be 1500-1700 words and should include at least three (3) citations. Clearly mark each heading to identify the interviews and summaries. Follow the guidelines for APA writing style. Be sure to use APA guidelines for referencing in an interview.

Choose a research topic that interests. This can be any topic you would like to research either qualitatively or quantitatively. An example might be effectiveness of a tool for monitoring home administration of medications however you can choose any topic you like. Develop a tool for collecting data (be sure to keep it fairly simple in the interests of the project), find three subject matter experts and have them evaluate your data collection tool through interviews. Include their assessment of the effectiveness of the tool. Be sure to include any recommendations for change in the tool. Then describe how the tool will change based on the recommendations.

3. Successful Data Collection Tools - Develop a 15 slide PowerPoint presentation. Be thorough and include rational and references for your recommendations.

Using the tool you evaluated in the previous week. Develop a PowerPoint presentation sharing how the data collected in the tool is driven by physiological and psychological concepts. Address what the end goal of the healthcare paradigm will be with the data collected.

4. **BENCHMARK** Assessment, Implementation, and Review - Write a 2500-2700 word essay addressing each of the following points/questions. Support your ideas with at least three (5) scholarly citations in your essay. Use strict APA guidelines to format the paper. The cover page and reference page do not count towards the minimum word amount and an abstract and table of contents are not necessary and if included are not part of the overall word count.

Choose a project that you would like to implement in a healthcare delivery environment. Research the topic. Develop a plan to implement the knowledge found in the research. Discuss how you would evaluate the project. Include a discussion of what you will do if the project does not successfully launch.

5. Sharing Knowledge - Write a 1500-1700 word essay addressing each of the following points/questions. Support your ideas with at least three (3) scholarly citations in your essay. Use strict APA guidelines to format the paper. The cover page and reference page do not count towards the minimum word amount and an abstract and table of contents are not necessary and if included are not part of the overall word count.

Investigate three professional journals and describe the process and criteria they use for selecting work to be published. Describe how you would work to meet this process and criteria. Describe challenges you perceive in getting work published in the journals.

6. Please consider how you have developed the knowledge, skills, and attitudes that enable your achievement of the Course Goals listed in the syllabus. Then write a reflection of minimum of 1000 words describing how this course has helped you achieve these goals. Finally, chose one assignment that you feel represents your best learning (artifact) in the course. Take a few minutes to revise it, according to comments from your professor. Combine these into one document.


Please follow the instructions in each questions. Also, please do not forget to indicate what number it is your answer is referring to.

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Explanation & Answer

Attached.

Running head: NURSING

1

Nursing
Student’s Name
Institutional Affiliation

NURSING

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Nursing
Question One

Caring for the patient with Neurotic foot ulcer as a result of diabetes (Theory)
Introduction
The presented theory is developed based on the need to care for patients suffering from
neurotic foot ulcer which developed by diabetes. The theory has been tried in many health
facilities with numerous results. The discussion below offers more explanation on the theory.
Discussion
At the discussion level, the major thing that will be considered is more description about
the condition and the various ways which lead to its occurrence. This would also involve the
implementation of various methods in trying to find more light regarding the solutions to the
condition. (CSDH) is considered a collection of the watery blood between the arachnoid the
brain layer and dura and is imagined to occur as a result of the damage caused by the bridging
veins intersecting the subdural space. The injury in the head is a common risk factor observed in
the research conducted between one thousand patients. Apart from the head injury being risk
factors observed in the research conducted with one thousand patients being the point of
reference, other risk factors also existed, and they are observed as antiplatelet use, coagulopathy
and the malformations of the vascular. From the conducted research or study,(CSDH) has always
been observed or associated with presenting itself numerous weeks or periods after the bleeding
of the index, this is because as the first or the primary acute haematoma becomes watery, it
broadens. The up surging volume then results in the effect which establishes clinically. There are
two major applications which have been proposed to facilitate the clot controlling the
mechanism. The first principle which has been implemented is that the watering clot upsurges

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the content of the protein which later exerts osmotic consequence through the enlarged oncotic
gravity. However, the liquid clot’s osmolality is annually the same to the blood and the
cerebrospinal fluid. The second principle argues that the bleeding happens from the irregular and
widened blood vein in the capsule that exists around the haematoma. The existing evidence from
the readings of radiolabelling and the existing reflection of the congealing aberrations within the
(CSDH) itself assist this specific principle, (Sekhon 2017). High absorption of the (vascular
endothelial growth factor) has also been shown within the subdural fluid supporting the principle
that the current continuing angiogenesis and hyperpermeability of the vessels leads to the
haematoma. In the dissertation, the drainage of the hematoma and irrigation through the burr
holes is considered to be important or effective since it facilitates the reduction in the size and
speed of the reabsorption. Hematoma shape and size guide the location of the burr holes.
Nursing Process
Clinical presentation
The patients with the condition of the hematomas can show in very many methods and
means including the symptoms and progression can range from weeks to months or from days to
numerous weeks. Most of the elderly individuals always present the condition with numerous
symptoms that may try to resemble or copy the stroke. In a research which showed the analysis
done on the 1000 patients, the symptoms that were observed on them included headaches,
disturbance of the behaviour and weakness on their limbs. Most of these patients were also
observed to have a reduced conscious level while the elderly people who have this same
condition do not always show the coma. Bilateral subdural haematomas might be available in
twenty-five per cent of the whole patients, but without making or leading to the principal
neurological shortages. Midline changes may also be slight with the joint (CSDH), but

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significant effect in mass can still be exerted by haematomas. This may lead to the increase or
the upsurge of the quick corrosion so that the deliberation may be awarded the advanced surgical
drainage in these specific patients.

Findings

N (%)

Altered level of consciousness

241 (66)

Focal neurological deficits

183 (50)

Documented trauma

201 (55)

Bilateral hematoma

49 (13)

Seizure

12 (3.3)

Coma

5 (1.4)

Quadriparesis

2 (0.54)

http://www.nmcth.edu/images/gallery/Editorial/UCA69nk_khadka.pdf
Pathophysiology
Management
Surgical management
(Surgical haematoma evacuation) Is shown in the patients who deteriorate, surgery can lead to an
improvement in the favourable results in more than eighty per cent of the patients. However, the
most important or productive surgical method is uncertain. The three recognized methods are

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known as; TDC (twist-drill craniotomy), burr hole craniotomy (BHC) and craniotomy. TDC
majorly entails conducting an opening into the skull 30 mm and can be done at the bedside. BHC
and craniotomy are conducted in the theatre where the operations are conducted; the previous
consists of making holes (one or two) which 30mm into the skull of the patient, while
craniotomy is overly defined as forming a 30mm diameter bony defect which can be replaced
once the procedure is concluded. Numerous researches including the current prospective multicentre audit of the (CSDH) management in the U.K found (BHC) to be the highest commonly
applied method of the surgical drainage.
Anaesthesia choice
A few types of research have been able to give an explanation of the effects that have
been caused by (LA) and the anaesthesia on the surgical evacuation. A retrospective research on
the patients with more than sixty years undergoing through (BHC for CSDH) showed that
cardiac complications were significantly more in the GA class or category, which consequently
had significantly longer hospital stays. However, in an extra single centred reflective series of
1000 surgically treated patients, there was no important variance in the results between examined
anaesthesia and the GA, even though only ten per cent of the patients in the research went
through GA. Making a comparison between GA and regional anaesthesia have been conducted in
a non-neurosurgical practice. For example, a review of the patients adding to 18,715 with the
geriatric condition taking the surgery of a fractured hip resolved that backbone anaesthesia is
related to the significantly reduced early impermanence and a reduced risk of (venous
thromboembolism, myocardial delirium, pneumonia and postoperative hypoxia).
Patient Presentation

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Diagnosis and Treatment Plan
As Mr Smith was a type 2 diabetic and he was diagnosed with reduced oral intake, when
assembling his care bundles and paperwork, he had a food chart and a fluid balance chart put in
place immediately to monitor and assess intake. According to medical classification, type 2
diabetes mellitus occurs when insufficient levels of insulin are produced within the body or the
mechanism to distribute insulin, where needed in the body, does not work. The priority was,
therefore, to have Mr Smith’s hypoglycaemia reviewed.
Assessment
The method was mainly used in the last four years for the treatment of approximately 224
patients who suffered from the condition of (cSDH). These surgeons or authors also made a
document concerning the postoperative morbidity in 3 patients. Additionally, there has been a
publication offering more support to the subglacial drainage. In this particular research or
publication presented, numerous reports of the 183 symptomatic (cSDH) were drained in more
than 147 patients. Peri-operative impermanence rate was recorded at 3.4%, while the recurrence
happened in 13.1% of cases, demanding for the second intervention in the 9.3 of the existing
cases, (Kaakinen 2018). A document of postoperative seizure rate of approximately 6.6% and
1.6% infection rate were also documented by the publishers or the authors. The efficiency and
safety of the subperiosteal were supported by all these documents produced due to the drainage
of (cSDH). Even the persisted drainage as a result of the (cSDH) drainage is assisted or
supported by the current discussion, extra research is essential to make a comparison amongst
the complication rates and the recurrence between the patients undertaking subperiosteal and the
drainage.

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Twist-drill craniotomy

In making a complete comparison, (TDC) can either be conducted while somebody or the
patient stays in bed under the use of anaesthesia or in the operation theatres. Since (TDC) can be
conducted while one stays in bed, it is considered by the elderly people with the various health
complications, this is because they do not have to travel a long distance going to the health
centre. However, the drainage of the (TDC) is highly significant in the (cSDH) cases where the
blood in the body is almost completely liquefied, and there is the existence of the high chances of
the risk infections of the contaminations which are done by the bedside. Additionally, a closed
drainage system is constructed by the bedside during the period of the surgery to promote the
postoperative expansion of the brain, particularly to the old people who suffer from the brain
diseases, (Maume 2017).
Planning
At this stage, it is very clear and true that there is the identification of the need to review
in which case the research is specifying the research questions in the cases of standalone review.
Additionally, the planning stage also involves the topics that that the research questions will
cover in the case of supporting review. The first stage is also critical in the development and the
validation of a review protocol. The level of planning defines how explicit and systematic the
final literature review becomes.
Question Two
Slow food and fast food culture

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Introduction
Fast food is considered as a mass production of food and is served quickly to the
customers; it is majorly sold at the food outlets while the slow food is considered as the food that
is prepared according to the native culinary customs, naturally using the ingredients that are
produced from the local areas. Some of these ingredients include; the tomatoes, carrots and even
the onions from the local farms. Food, on the other hand, is considered as an imperative part of
the general world culture, and trends in values that affect the eating habits of people in the
overall population. The percentage of money used to buy the foods which are consumed away
from home as well as the total number of the food outlets has been on the upsurge since the start
of the 20th century. This has made people to consume a lot of food at the restaurants while
neglecting home-based foods. An emergence of the “Americanization” of diets through the
expansion of the food outlets have been observed in the current world.
The emergence of the fast food and the slow food in the world today has been affected by
different cultures in the world. For example, the emergence of the new household gadgets such
as the microwave has made it even cheaper for people to reheat the already prepared food. Thus
it is easy for people to fast food and carries it with them home. Additionally, the emergence of
certain diseases has also led to the production and consumption of the slow foods in the world
today, (Silva 2014). Therefore, the different cultures from, Italy, and the U.S have affected the
production of the slow and fast food since the cultures would want the production of such food to
function in their favour. For example, the television watching cult...


Anonymous
Awesome! Perfect study aid.

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